Table 2 Factor loadings and communalities from PCA with varimax rotation for organizational culture

 Q19. Staff nurses are involved in the internal governance of the hospital

 Q26. Staff nurses have the opportunity to serve on hospital and nursing department committees

 Q21. An administration who listens to and responds to employee concerns

 Q22. A director of nursing highly visible and accessible to staff

 Q25. Nursing administrators consult with staff on daily problems and procedures

 Q27. A nursing supervisor equal in power and authority to other top level hospital executives

 Q38. A head nurse who is a good manager and leader

 Q39. A head nurse/supervisor who backs up the nursing staff in decision making, even if the conflict is with a physician

 Q40. Supervisors use mistakes as learning opportunities, not criticism

 Q41. A supervisory staff that is supportive of the nurses

 Q42. Praise and recognition for a job well done

 Q20. Many opportunities for advancement of nursing personnel

 Q23. Opportunity for staff nurses to participate in policy decisions

 Q24. Career development/clinical ladder opportunity

 Q28. Use of nursing diagnoses

 Q29. An active quality assurance program

 Q30. An orientation program for newly hired RNs

 Q31. Nursing care is based on a nursing, rather than a medical, model

 Q32. Patient care assignments that foster continuity of care

 Q33. A clear philosophy of nursing that pervades the patient care environment

 Q34. Written, up-to-date nursing care plans for all patients

 Q35. High standards of nursing care are expected by the administration

 Q43. A lot of teamwork between nurses and doctors

 Q44. Physicians and nurses have good relationships

 Q45. Functional collaboration (joint practice) between nurses and physicians

 Q46. Enough staff to get the work done

 Q26. Staff nurses have the opportunity to serve on hospital and nursing department committees

 Q47. Enough registered nurses to provide quality patient care

 Q48. Adequate support services allow me to spend time with my patients

 Q49. Enough time and opportunity to discuss patient care problems with other nurses